Manual of minor surgery and bandaging for the use of house-surgeons, dressers and junior practitioners.

  • Heath, Christopher, 1835-1905.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Manual of minor surgery and bandaging for the use of house-surgeons, dressers and junior practitioners. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    a certain amount of play. The inner tube (fig. 34) has its extremity jointed like the tail of a lobster, in order that it may readily take the necessary curve. This tube is necessarily someAvhat expensive, but when once the parts involved in the operation have resumed their ordinary condition, and the required length of tube has been ascertained, a simpler and cheaper tube on the same principle could be readily fitted. In introducing this oranyformof cylindrical tube into the trachea, it will be found that a blunt-pointed pilot trochar (fig. 35), made on the same principle as the inner tube (or in tubes of the ordinary curve made simply of lead), will much facilitate the operation. Fig, 35. The handle, which in the illustration is cut short, gives great control over the instrument. Paracentesis.—The house-surgeon may be called upon to perform paracentesis abdominis, or (more rarely) thoracis, in the medical wards. Paracentesis abdominis is best performed in the lijiea alba, and midway be- tween the umbilicus and pubes. The operator should first satisfy himself that it is really a case of dropsy, and see that the bladder is empty. The patient being then brought to the edge of the bed, and placed on his side, a piece of mackintosh cloth should be arranged so as to protect the bed from getting wet, and the necessary pails &c. should be provided to receive the